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Participants included 11 clinicians, 6 rooming staff, and 7 nurse or clinic managers recruited by study staff to participate in telephone interviews conducted by an expert in qualitative methods. Interviews were recorded and transcribed, and data analysis was conducted using a constructivist version of grounded theory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Implementing a prediabetes CDS tool into primary care clinics was useful and well received. The intervention was integrated with clinic workflows, supported primary care clinicians in clearly communicating prediabetes risk and management options with patients, and in identifying actionable care opportunities. The main barriers to CDS use were time and competing priorities. Finally, while the implementation process worked well, opportunities remain in engaging the care team more broadly in CDS use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of CDS tools for engaging patients and providers in care improvement opportunities for prediabetes is a promising and potentially effective strategy in primary care settings. A workflow that incorporates the whole care team in the use of such tools may optimize the implementation of CDS tools like these in primary care settings.<\/jats:p><jats:p><jats:italic>Trial registration<\/jats:italic>Name of the registry: Clinicaltrial.gov. Trial registration number: NCT02759055. Date of registration: 05\/03\/2016. URL of trial registry record:<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02759055\">https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02759055<\/jats:ext-link>Prospectively registered.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12911-021-01745-x","type":"journal-article","created":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T11:02:33Z","timestamp":1642244553000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Assessing the implementation of a clinical decision support tool in primary care for diabetes prevention: a qualitative interview study using the Consolidated Framework for Implementation Science"],"prefix":"10.1186","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3561-8276","authenticated-orcid":false,"given":"Rebekah","family":"Pratt","sequence":"first","affiliation":[]},{"given":"Daniel M.","family":"Saman","sequence":"additional","affiliation":[]},{"given":"Clayton","family":"Allen","sequence":"additional","affiliation":[]},{"given":"Benjamin","family":"Crabtree","sequence":"additional","affiliation":[]},{"given":"Kris","family":"Ohnsorg","sequence":"additional","affiliation":[]},{"given":"JoAnn M.","family":"Sperl-Hillen","sequence":"additional","affiliation":[]},{"given":"Melissa","family":"Harry","sequence":"additional","affiliation":[]},{"given":"Hilary","family":"Henzler-Buckingham","sequence":"additional","affiliation":[]},{"given":"Patrick J.","family":"O\u2019Connor","sequence":"additional","affiliation":[]},{"given":"Jay","family":"Desai","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,1,15]]},"reference":[{"key":"1745_CR1","doi-asserted-by":"crossref","unstructured":"Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. 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Interviewing professionals on their views on the intervention was deemed low risk and therefore a waiver of written consent was granted. An IRB approved information and consent statement was read aloud at the start of each interview, following which verbal consent was obtained from all participants as interview study was considered low risk. The interviewer documented verbal consent in secure study records.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"15"}}